Healthcare IT Leaders · 1 day ago
Outpatient Coding Auditor
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Responsibilities
Conduct comprehensive audits of ED, ED-Observation, and Ambulatory Surgery accounts to ensure compliance with healthcare regulations and standards.
Identify discrepancies and areas of improvement in billing and coding processes
Collaborate with healthcare providers and management to implement corrective action plans.
Provide training and education to coding staff to improve accuracy and compliance.
Prepare detailed audit reports and present findings to senior management.
Review medical records and audit for accuracy of codes (diagnoses and procedures).
Qualification
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Required
Must have 5 years experience as an Outpatient Coding Auditor
CCS or CPC Certification is required (non-negotiable)
Must have experience with OPPS guidelines (Outpatient Prospective Payments Systems)
Will be required to take a Coding Auditor Assessment
Company
Healthcare IT Leaders
IT Consulting and Workforce Solutions for Healthcare Employers.
Funding
Current Stage
Growth StageRecent News
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